Active NPI
Steven Richard Tucker, MD
- Family Medicine Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101043908
- Practice address
- 9001 Digges Rd Ste 206
Manassas, VA 20110-4414 - Phone
- (703) 330-6440
- Fax
- (703) 369-5819
- NPI assigned
- Aug 20, 2006
- Last updated
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101043908 | VA | Primary |
Addresses
Primary practice location
9001 Digges Rd Ste 206
Manassas, VA 20110-4414
Mailing address
9001 Digges Rd Ste 206
Manassas, VA 20110-4414
Phone (703) 330-6440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5603641 | Medicaid | VA | |
| 7212-0001 | Other | VA | CAREFIRST BLUECHOICE |
| 100025 | Other | VA | ANTHEM BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101043908 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Family Medicine | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
8644 Sudley Rd
#220
Manassas, VA 20110
9001 Digges Rd
Ste 206
Manassas, VA 20110
Phone (703) 330-6440
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- steven.tucker.1@8042.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Family Medicine
-
- Family Medicine Physician
- Manassas, VA
- NPI 1811173479
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1952416612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 DIGGES RD STE 206",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104414",
"telephone_number": "703-330-6440",
"fax_number": "703-369-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 DIGGES RD STE 206",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104414",
"telephone_number": "703-330-6440",
"fax_number": "703-369-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "STEVEN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101043908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5603641",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "7212-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "100025",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.